Individual
LAUREN MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 E BROADWAY AVE, JACKSON, WY 83001-8636
(816) 905-2820
Mailing address
PO BOX 11231, JACKSON, WY 83002-1231
(816) 905-2820
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-19-77639
WY
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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